Intent to Change * Do you plan to make any changes to your practice as a result of attending this course? Yes, I plan to make changes I’m not sure, but I’m considering making changes No, I already practice these recommendations No, this doesn’t apply to my practice What do you plan to change? List one or two things that you intend to do differently or try: If considering changes, what do you plan to change? List one or two things that you intend to do differently or try: Potential Barriers * What are the potential barriers to implementing the practice recommendations for this session? Additional Comments or Questions Do you have any additional comments or questions about this session? Thank you for your responses. Click the submit button to claim credit for this session. Leave this field blank